XERF Skin Tightening NYC
Non-Surgical Lifting & Firming on the Upper East Side
What Is XERF?
XERF (eXtended Energy RF) is FDA-cleared technology by Cynosure Lutronic — trusted by leading dermatologists and plastic surgeons across New York City. Unlike traditional RF skin tightening treatments, XERF uses patented dual-frequency monopolar RF (6.78 MHz + 2 MHz) to penetrate and heat all layers of skin simultaneously: the epidermis, dermis, subcutaneous tissue, and the SMAS fascia.
This multi-depth approach triggers the body's natural collagen and elastin response — tightening, thickening, and restructuring tissue from within. The proprietary Wave Fit™ pulse technology distributes energy across 12 pulses with integrated cryogen
cooling, making the treatment comfortable without anesthesia.
Three Depths. One Treatment. Total Transformation.
XERF's three-level depth control allows Vicki to precisely target the exact layers your skin needs — delivering personalized RF energy where it matters most.
Shallow
Targets the epidermis and upper dermis — improving surface texture, tone, and early laxity.
Middle
Reaches the subcutaneous fascia — addressing mid-face volume loss and early jowling.
Deep
Penetrates the SMAS layer for true lifting and definition of the jawline and neck.
Using the XERF EFFECTOR 60 tip — which delivers up to 150% more energy than conventional monopolar RF applicators — and real-time temperature monitoring, every XERF treatment in NYC at Vicki Morav Spa is calibrated to your skin's unique response.
Treatment Areas
Face & Forehead
Face & Forehead
Jawline & Jowls
Jawline & Jowls
Neck & Décolletage
Neck & Décolletage
Arms
Arms
Abdomen
Abdomen
Thighs
Thighs
The Vicki Morav Difference
32 Years. One Standard: Results.
XERF is a precision instrument — and in the hands of Vicki Morav, NYC's most sought-after esthetician for over three decades, it becomes something extraordinary.
Vicki's signature Morav Method blends mastery of advanced European skincare techniques with the most effective medical-grade technology available today.
With a private studio on the Upper East Side and a devoted clientele spanning A-list celebrities, executives, and royalty, Vicki doesn't offer cookie-cutter treatments. Every XERF session in NYC is built around your skin, your anatomy, and your goals.
"In 32 years, I've seen every technology come and go. XERF is different — it's the first RF treatment I've experienced that delivers real structural change, not just surface improvement." — Vicki Morav
Before & After
Client Testimonials
Real Results. Real Clients.
After Your XERF Treatment
XERF requires no downtime, but following these simple guidelines will help you get the most from your treatment and protect your results:
- Mild redness and swelling may occur for 1–3 days — this is completely normal
- Do not apply ice or cooling packs to the treated area
- Apply a gentle, non-occlusive moisturizer daily
- Avoid skincare products containing alcohol for at least 1 week
- Avoid sun exposure — apply broad-spectrum SPF 50+ daily throughout your treatment series
- Avoid strenuous activity that raises body temperature for 24 hours
Questions about your post-care? Contact us.
What is XERF and how does it work?
XERF is an FDA-cleared, non-surgical skin tightening treatment that uses multi-frequency monopolar radiofrequency (RF) energy to stimulate collagen and elastin production at multiple skin depths simultaneously. Unlike traditional RF skin tightening, XERF delivers dual frequencies (6.78 MHz and 2 MHz) in a single session — reaching from the skin's surface down to the SMAS fascia layer for true structural tightening with no surgery and no downtime.
Is XERF painful? Do I need numbing cream?
No numbing cream is required for XERF. The treatment uses patented Wave Fit™ pulse technology with built-in cryogen cooling at every pulse, keeping treatments comfortable without anesthesia. You may feel a warming sensation during the session, but most patients find it very tolerable. XERF NYC sessions at Vicki Morav Spa are continuously monitored for your comfort.
How many XERF treatments do I need?
Many patients see visible results after just one XERF treatment, with continued collagen remodeling over the following 3 months. For optimal, longer-lasting results, Vicki Morav recommends a series of 2 to 3 sessions spaced 4–6 weeks apart. Your provider will recommend a personalized plan based on your skin’s laxity and goals.
When will I see results from XERF? How long do they last?
Some skin tightening is visible immediately after your first session due to collagen contraction. Results continue to develop as new collagen builds — with peak results typically seen over 4–12 weeks post-treatment as new collagen forms, with continued enhancement over the following months.
XERF results last 12–18 months, making it one of the longest-lasting non-surgical skin tightening options available in NYC.
Is there any downtime after XERF?
There is no downtime with XERF. You may notice mild warmth or slight redness immediately after the session, but these effects usually fade within a few hours. You can return to your normal routine right away.
No downtime skin tightening is one of XERF's most significant advantages over surgical alternatives.
What areas can XERF treat?
XERF is FDA-cleared for the face, jawline, jowls, neck, brow, décolletage, abdomen, arms, and thighs. During your XERF consultation at Vicki Morav Spa on the Upper East Side, Vicki will assess which areas will benefit most and customize your treatment plan accordingly.
Who Is a Good Candidate?
XERF is ideal for patients with mild to moderate skin laxity who want to avoid surgery. It’s also a great preventative option for younger patients interested in slowing the early signs of aging.
What to Expect During Treatment
DescriptionPatients often describe the procedure as comfortable, with a gentle warming sensation as energy is delivered into the skin. Afterward, the skin may appear slightly flushed, but this resolves quickly. Visible improvements appear within weeks, with continued tightening as new collagen forms.
Can it help with sagging and fine lines?
Yes. Lutronic XERF is specifically designed to improvemild to moderate skin laxity, fine lines, early jowling, and areas that need firmer structural support, such as the cheeks, jawline, and neck.
How does XERF compare to Thermage and Ultherapy?
XERF is the only monopolar RF device that delivers multiple frequencies simultaneously, reaching all skin depths — from the epidermis to the SMAS fascia — in a single shot. Thermage delivers single-frequency RF at one depth, while Ultherapy uses ultrasound energy targeting only the SMAS layer. Compared to both, XERF offers more comprehensive collagen remodeling across multiple skin layers, with greater patient comfort and no numbing cream required.
How much does XERF cost in NYC?
XERF pricing in New York City typically ranges from $1,500 to $3,000 per session depending on the provider, treatment areas, and level of customization. At Vicki Morav Spa on the Upper East Side, pricing is tailored to your individual treatment plan and skin goals. We invite you to book a complimentary consultation so Vicki can assess your skin and recommend the right approach for you.
Is XERF safe for all skin types?
Yes. XERF is FDA-cleared for Fitzpatrick skin types I through VI, making it suitable for a broad range of skin tones and types.
Where is Vicki Morav Spa located?
Vicki Morav Spa is located at 19 E 71st Street, Ground Floor, New York, NY 10021 — on the Upper East Side, between Fifth and Madison Avenues.